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Vertebral hypoplasia

MedGen UID:
87502
Concept ID:
C0345394
Congenital Abnormality
Synonym: Underdeveloped vertebrae
SNOMED CT: Hypoplasia of spine (205456006)
 
HPO: HP:0008417

Definition

Small, underdeveloped vertebral bodies. [from HPO]

Conditions with this feature

Child syndrome
MedGen UID:
82697
Concept ID:
C0265267
Disease or Syndrome
The NSDHL-related disorders include: CHILD (congenital hemidysplasia with ichthyosiform nevus and limb defects) syndrome, an X-linked condition that is usually male lethal during gestation and thus predominantly affects females; and CK syndrome, an X-linked disorder that affects males. CHILD syndrome is characterized by unilateral distribution of ichthyosiform (yellow scaly) skin lesions and ipsilateral limb defects that range from shortening of the metacarpals and phalanges to absence of the entire limb. Intellect is usually normal. The ichthyosiform skin lesions are usually present at birth or in the first weeks of life; new lesions can develop in later life. Nail changes are also common. The heart, lung, and kidneys can also be involved. CK syndrome (named for the initials of the original proband) is characterized by mild to severe cognitive impairment and behavior problems (aggression, attention deficit hyperactivity disorder, and irritability). All affected males reported have developed seizures in infancy and have cerebral cortical malformations and microcephaly. All have distinctive facial features, a thin habitus, and relatively long, thin fingers and toes. Some have scoliosis and kyphosis. Strabismus is common. Optic atrophy is also reported.
Atelosteogenesis type I
MedGen UID:
82701
Concept ID:
C0265283
Congenital Abnormality
The FLNB disorders include a spectrum of phenotypes ranging from mild to severe. At the mild end are spondylocarpotarsal synostosis (SCT) syndrome and Larsen syndrome; at the severe end are the phenotypic continuum of atelosteogenesis types I (AOI) and III (AOIII) and Piepkorn osteochondrodysplasia (POCD). SCT syndrome is characterized by postnatal disproportionate short stature, scoliosis and lordosis, clubfeet, hearing loss, dental enamel hypoplasia, carpal and tarsal synostosis, and vertebral fusions. Larsen syndrome is characterized by congenital dislocations of the hip, knee, and elbow; clubfeet (equinovarus or equinovalgus foot deformities); scoliosis and cervical kyphosis, which can be associated with a cervical myelopathy; short, broad, spatulate distal phalanges; distinctive craniofacies (prominent forehead, depressed nasal bridge, malar flattening, and widely spaced eyes); vertebral anomalies; and supernumerary carpal and tarsal bone ossification centers. Individuals with SCT syndrome and Larsen syndrome can have midline cleft palate and hearing loss. AOI and AOIII are characterized by severe short-limbed dwarfism; dislocated hips, knees, and elbows; and clubfeet. AOI is lethal in the perinatal period. In individuals with AOIII, survival beyond the neonatal period is possible with intensive and invasive respiratory support. Piepkorn osteochondrodysplasia (POCD) is a perinatal-lethal micromelic dwarfism characterized by flipper-like limbs (polysyndactyly with complete syndactyly of all fingers and toes, hypoplastic or absent first digits, and duplicated intermediate and distal phalanges), macrobrachycephaly, prominant forehead, hypertelorism, and exophthalmos. Occasional features include cleft palate, omphalocele, and cardiac and genitourinary anomalies. The radiographic features at mid-gestation are characteristic.
Anophthalmia/microphthalmia-esophageal atresia syndrome
MedGen UID:
347232
Concept ID:
C1859773
Disease or Syndrome
The phenotypic spectrum of SOX2 disorder includes anophthalmia and/or microphthalmia, brain malformations, developmental delay / intellectual disability, esophageal atresia, hypogonadotropic hypogonadism (manifest as cryptorchidism and micropenis in males, gonadal dysgenesis infrequently in females, and delayed puberty in both sexes), pituitary hypoplasia, postnatal growth delay, hypotonia, seizures, and spastic or dystonic movements.
Vertebral hypoplasia with lumbar kyphosis
MedGen UID:
348622
Concept ID:
C1860463
Disease or Syndrome
Spondyloepimetaphyseal dysplasia, Shohat type
MedGen UID:
400703
Concept ID:
C1865185
Disease or Syndrome
Shohat-type spondyloepimetaphyseal dysplasia (SEMDSH) is a chondrodysplasia characterized by vertebral, epiphyseal, and metaphyseal abnormalities, including scoliosis with vertebral compression fractures, flattened vertebral bodies, and hypomineralization of long bones. Affected individuals may exhibit a small trunk, short neck, small limbs, joint laxity, bowlegs, and/or abdominal distention with hepatosplenomegaly (summary by Egunsola et al., 2017).
Craniofacial microsomia 1
MedGen UID:
501171
Concept ID:
C3495417
Congenital Abnormality
Craniofacial microsomia is a term used to describe a spectrum of abnormalities that primarily affect the development of the skull (cranium) and face before birth. Microsomia means abnormal smallness of body structures. Most people with craniofacial microsomia have differences in the size and shape of facial structures between the right and left sides of the face (facial asymmetry). In about two-thirds of cases, both sides of the face have abnormalities, which usually differ from one side to the other. Other individuals with craniofacial microsomia are affected on only one side of the face. The facial characteristics in craniofacial microsomia typically include underdevelopment of one side of the upper or lower jaw (maxillary or mandibular hypoplasia), which can cause dental problems and difficulties with feeding and speech. In cases of severe mandibular hypoplasia, breathing may also be affected.\n\nPeople with craniofacial microsomia usually have ear abnormalities affecting one or both ears, typically to different degrees. They may have growths of skin (skin tags) in front of the ear (preauricular tags), an underdeveloped or absent external ear (microtia or anotia), or a closed or absent ear canal; these abnormalities may lead to hearing loss. Eye problems are less common in craniofacial microsomia, but some affected individuals have an unusually small eyeball (microphthalmia) or other eye abnormalities that result in vision loss.\n\nAbnormalities in other parts of the body, such as malformed bones of the spine (vertebrae), abnormally shaped kidneys, and heart defects, may also occur in people with craniofacial microsomia.\n\nMany other terms have been used for craniofacial microsomia. These other names generally refer to forms of craniofacial microsomia with specific combinations of signs and symptoms, although sometimes they are used interchangeably. Hemifacial microsomia often refers to craniofacial microsomia with maxillary or mandibular hypoplasia. People with hemifacial microsomia and noncancerous (benign) growths in the eye called epibulbar dermoids may be said to have Goldenhar syndrome or oculoauricular dysplasia.

Professional guidelines

PubMed

Litrenta J, Bi AS, Dryer JW
J Am Acad Orthop Surg 2021 Nov 15;29(22):951-960. doi: 10.5435/JAAOS-D-21-00190. PMID: 34288888
Mackel CE, Jada A, Samdani AF, Stephen JH, Bennett JT, Baaj AA, Hwang SW
Childs Nerv Syst 2018 Nov;34(11):2155-2171. Epub 2018 Aug 4 doi: 10.1007/s00381-018-3915-6. PMID: 30078055
Turnpenny PD, Ellard S
Eur J Hum Genet 2012 Mar;20(3):251-7. Epub 2011 Sep 21 doi: 10.1038/ejhg.2011.181. PMID: 21934706Free PMC Article

Recent clinical studies

Etiology

Chi HY, Hsu CF, Chen AC, Su CH, Hu HH, Fu WM
J Ultrasound Med 2018 Jul;37(7):1605-1610. Epub 2017 Nov 30 doi: 10.1002/jum.14501. PMID: 29193196
Hwang J, Chung JW, Cha J, Bang OY, Chung CS, Lee KH, Kim GM
J Neuroimaging 2017 Jan;27(1):71-77. Epub 2016 Jun 14 doi: 10.1111/jon.12368. PMID: 27296725
Niggemann P, Kuchta J, Grosskurth D, Beyer HK, Hoeffer J, Delank KS
Br J Radiol 2012 Apr;85(1012):358-62. Epub 2011 Jul 12 doi: 10.1259/bjr/60355971. PMID: 21750127Free PMC Article
Skutta B, Fürst G, Eilers J, Ferbert A, Kuhn FP
AJNR Am J Neuroradiol 1999 May;20(5):791-9. PMID: 10369348Free PMC Article

Diagnosis

Chi HY, Hsu CF, Chen AC, Su CH, Hu HH, Fu WM
J Ultrasound Med 2018 Jul;37(7):1605-1610. Epub 2017 Nov 30 doi: 10.1002/jum.14501. PMID: 29193196
Hwang J, Chung JW, Cha J, Bang OY, Chung CS, Lee KH, Kim GM
J Neuroimaging 2017 Jan;27(1):71-77. Epub 2016 Jun 14 doi: 10.1111/jon.12368. PMID: 27296725
Skutta B, Fürst G, Eilers J, Ferbert A, Kuhn FP
AJNR Am J Neuroradiol 1999 May;20(5):791-9. PMID: 10369348Free PMC Article
Diaz FG, Ausman JI, de los Reyes RA, Pearce J, Shrontz C, Pak H, Turcotte J
J Neurosurg 1984 Nov;61(5):874-81. doi: 10.3171/jns.1984.61.5.0874. PMID: 6491733

Therapy

Niggemann P, Kuchta J, Grosskurth D, Beyer HK, Hoeffer J, Delank KS
Br J Radiol 2012 Apr;85(1012):358-62. Epub 2011 Jul 12 doi: 10.1259/bjr/60355971. PMID: 21750127Free PMC Article

Prognosis

Hwang J, Chung JW, Cha J, Bang OY, Chung CS, Lee KH, Kim GM
J Neuroimaging 2017 Jan;27(1):71-77. Epub 2016 Jun 14 doi: 10.1111/jon.12368. PMID: 27296725
Carlson AP, Alaraj A, Dashti R, Aletich VA
J Neurointerv Surg 2013 Nov;5(6):601-4. Epub 2012 Nov 20 doi: 10.1136/neurintsurg-2012-010527. PMID: 23172540
Niggemann P, Kuchta J, Grosskurth D, Beyer HK, Hoeffer J, Delank KS
Br J Radiol 2012 Apr;85(1012):358-62. Epub 2011 Jul 12 doi: 10.1259/bjr/60355971. PMID: 21750127Free PMC Article
Skutta B, Fürst G, Eilers J, Ferbert A, Kuhn FP
AJNR Am J Neuroradiol 1999 May;20(5):791-9. PMID: 10369348Free PMC Article

Clinical prediction guides

Hwang J, Chung JW, Cha J, Bang OY, Chung CS, Lee KH, Kim GM
J Neuroimaging 2017 Jan;27(1):71-77. Epub 2016 Jun 14 doi: 10.1111/jon.12368. PMID: 27296725
Skutta B, Fürst G, Eilers J, Ferbert A, Kuhn FP
AJNR Am J Neuroradiol 1999 May;20(5):791-9. PMID: 10369348Free PMC Article

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